MONDAY, June 16 (HealthDay News) -- People who have high blood
pressure in childhood are also prone to hypertension as adults, say
researchers who analyzed data from 50 studies conducted over four
decades in different countries.
"Our meta-analysis reinforces the concept that blood pressure
tracks from childhood to adulthood and that elevated blood pressure
in childhood is likely to help predict adult hypertension,"
co-author Dr. Youfa Wang, associate professor of international
health and epidemiology in the Center for Nutrition, Department of
International Health, Bloomberg School of Health at Johns Hopkins
University, said in a prepared statement.
"A main finding of our study is that there are large variations
in the degree of blood pressure tracking between childhood and
adulthood reported in previous studies, while our pooled analysis
of the related results shows a moderate tracking," Wang said.
"Among several factors that we examined, the two most important
factors that affect the degree of tracking are the children's age
when they had their blood pressure measured and the length of the
follow-up. The later it is measured and the shorter the follow-up,
the stronger the tracking."
Wang and colleagues said boys and girls with high blood pressure
are similarly likely to have high blood pressure as adults. The
evidence also suggests a strong association between being
overweight in childhood and high blood pressure.
"There is a stronger association between higher blood pressure
in adolescents when they become adults compared to higher blood
pressure in younger children," Wang said.
The study also found that systolic blood pressure measured in
childhood is a better and stronger predictor of blood pressure in
adulthood than diastolic pressure. Systolic and diastolic pressure
are the top and bottom number, respectively, in a blood pressure
measurement.
"Early detection and intervention is important to overcoming
high blood pressure," Wang said. "Lifestyle modification is
preferred rather than medication when appropriate to help young
people to control their elevated blood pressure to a desirable
level. A health diet and adequate exercise can also help reduce the
risks of developing many other chronic diseases such as obesity,
type 2 diabetes, metabolic syndrome, and cardiovascular
disease."
The study was published in the journal
Circulation.
More information
The Nemours Foundation has more about
high blood pressure in children.